NCC230269_NOI 124511 Payment Verification_20230131

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/27/2023 11:11:44 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/30/2023 7:47:54 AM (Review - NOI 124511 3447 Gum Springs Church Rd)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/27/2023 11:12 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 1, 2023 5:00
PM 1/27/2023 11:12 AM
by Workflow 1/30/2023 7:48:03 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/31/2023 11:08:26 AM (Payment Verification for NCC230269)
* Eric Sherman
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/31/2023 11:06 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 13, 2023 5:00 PM
1/30/2023 7:48 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name 3447 Gum Springs Church Rd
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0269
Certificate of NCC230269
Coverage (COC) No.*
Invoice Date 1/30/2023
Initial Invoice No. NCC230269-2023
Initial Fee $ 100.00
Invoice Due Date 3/1/2023
Important: If you change the choice below to Payment NOT RECEIVED, the application will be rejected, and a COC will
not be issued. This is the ONLY way to reject an eNOI at this step.
Payment Received* Payment Received.
Payment NOT RECEIVED.
Payment Status PAID
Date Payment 1/31/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 673967121
Transaction Number*
NOI Tracking No. 124511
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2023-3447 Gum Springs Church Rd